# KAISER FITNESS AND MEDISPA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326427329
- **Authorized official:** DR. BRENT KAISER D.C. (OWNER)
- **Authorized official phone:** (732) 758-8251

## Contact information

- **Practice address:** 555 SHREWSBURY AVE, SUITE F, SHREWSBURY, NJ 07702-4165
- **Practice address phone:** (732) 758-8251
- **Practice address fax:** (732) 758-8250
- **Mailing address:** 555 SHREWSBURY AVE, SUITE F, SHREWSBURY, NJ 07702-4165
- **Mailing address phone:** (732) 758-8251
- **Mailing address fax:** (732) 758-8250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2015
- **Last updated:** 05/28/2015